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NPI Code Detail

MEDICARE: DR. KIMBERLY TRUONG DDS

MEDICARE: DR. KIMBERLY TRUONG DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist35218TX

General Provider Information

NPI Number : 1700348067
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. KIMBERLY TRUONG DDS
Provider Business Mailing Address
First Line : 315 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3129
Country : US
Telephone Number : 713-807-9877
Fax Number :
Provider Business Practice Location Address
First Line : 315 WESTHEIMER RD
Second Line :
City : HOUSTON
State : TX
Zip : 77006-3129
Country : US
Telephone Number : 713-807-9877
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2019
Last Update Date : 07/02/2019

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Directions to “ DR. KIMBERLY TRUONG DDS” Practice Location

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